| Crossroads Physicians Corp | |
|
209 Crossroads Pl Suite 110 Mount Vernon IL 62864-6254 | |
| (618) 244-6710 | |
| (618) 244-6779 |
| Full Name | Crossroads Physicians Corp |
|---|---|
| Speciality | Family Medicine |
| Location | 209 Crossroads Pl, Mount Vernon, Illinois |
| Authorized Official Name and Position | Laura J Fey (SR. DIRECTOR PHYSICIAN REV CYCLE) |
| Authorized Official Contact | 6152213641 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Crossroads Physicians Corp 1573 Mallory Ln Ste 100 Brentwood TN 37027-2895 Ph: (152) 221-1400 | Crossroads Physicians Corp 209 Crossroads Pl Suite 110 Mount Vernon IL 62864-6254 Ph: (618) 244-6710 |
| NPI Number | 1508850520 |
|---|---|
| Provider Enumeration Date | 09/06/2005 |
| Last Update Date | 07/07/2023 |
| Certification Date | 07/07/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508850520 | NPI | - | NPPES |
| 4132020 | Other | IL | BCBS IL |
| 036064567 | Medicaid | IL |
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